Our verdict is Uncertain significance. The variant received 1 ACMG points: 4P and 3B. PM1PM2BP4BP6_Moderate
The NM_000251.3(MSH2):c.939T>A(p.Phe313Leu) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000000714 in 1,401,440 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★). Another nucleotide change resulting in the same amino acid substitution has been previously reported as Uncertain significance in ClinVar. Another variant affecting the same amino acid position, but resulting in a different missense (i.e. F313S) has been classified as Likely benign.
MSH2 (HGNC:7325): (mutS homolog 2) This locus is frequently mutated in hereditary nonpolyposis colon cancer (HNPCC). When cloned, it was discovered to be a human homolog of the E. coli mismatch repair gene mutS, consistent with the characteristic alterations in microsatellite sequences (RER+ phenotype) found in HNPCC. Two transcript variants encoding different isoforms have been found for this gene. [provided by RefSeq, Apr 2012]
MSH2 Gene-Disease associations (from GenCC):
Lynch syndrome
Inheritance: AD Classification: DEFINITIVE, SUPPORTIVE Submitted by: G2P, ClinGen, Orphanet
Lynch syndrome 1
Inheritance: AD Classification: DEFINITIVE, STRONG Submitted by: Labcorp Genetics (formerly Invitae), Genomics England PanelApp, Ambry Genetics
Muir-Torre syndrome
Inheritance: AD Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: Genomics England PanelApp, Orphanet, G2P
mismatch repair cancer syndrome 1
Inheritance: AR Classification: DEFINITIVE, SUPPORTIVE Submitted by: ClinGen, Orphanet
Our verdict: Uncertain_significance. The variant received 1 ACMG points.
PM1
In a hotspot region, there are 4 aminoacids with missense pathogenic changes in the window of +-8 aminoacids around while only 23 benign, 37 uncertain in NM_000251.3
PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.36452544).
BP6
Variant 2-47414415-T-A is Benign according to our data. Variant chr2-47414415-T-A is described in CliVar as Likely_benign. Clinvar id is 4111015.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr2-47414415-T-A is described in CliVar as Likely_benign. Clinvar id is 4111015.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr2-47414415-T-A is described in CliVar as Likely_benign. Clinvar id is 4111015.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr2-47414415-T-A is described in CliVar as Likely_benign. Clinvar id is 4111015.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr2-47414415-T-A is described in CliVar as Likely_benign. Clinvar id is 4111015.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr2-47414415-T-A is described in CliVar as Likely_benign. Clinvar id is 4111015.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr2-47414415-T-A is described in CliVar as Likely_benign. Clinvar id is 4111015.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr2-47414415-T-A is described in CliVar as Likely_benign. Clinvar id is 4111015.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr2-47414415-T-A is described in CliVar as Likely_benign. Clinvar id is 4111015.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr2-47414415-T-A is described in CliVar as Likely_benign. Clinvar id is 4111015.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr2-47414415-T-A is described in CliVar as Likely_benign. Clinvar id is 4111015.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr2-47414415-T-A is described in CliVar as Likely_benign. Clinvar id is 4111015.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr2-47414415-T-A is described in CliVar as Likely_benign. Clinvar id is 4111015.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr2-47414415-T-A is described in CliVar as Likely_benign. Clinvar id is 4111015.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr2-47414415-T-A is described in CliVar as Likely_benign. Clinvar id is 4111015.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr2-47414415-T-A is described in CliVar as Likely_benign. Clinvar id is 4111015.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr2-47414415-T-A is described in CliVar as Likely_benign. Clinvar id is 4111015.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr2-47414415-T-A is described in CliVar as Likely_benign. Clinvar id is 4111015.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr2-47414415-T-A is described in CliVar as Likely_benign. Clinvar id is 4111015.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr2-47414415-T-A is described in CliVar as Likely_benign. Clinvar id is 4111015.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr2-47414415-T-A is described in CliVar as Likely_benign. Clinvar id is 4111015.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr2-47414415-T-A is described in CliVar as Likely_benign. Clinvar id is 4111015.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr2-47414415-T-A is described in CliVar as Likely_benign. Clinvar id is 4111015.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr2-47414415-T-A is described in CliVar as Likely_benign. Clinvar id is 4111015.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr2-47414415-T-A is described in CliVar as Likely_benign. Clinvar id is 4111015.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr2-47414415-T-A is described in CliVar as Likely_benign. Clinvar id is 4111015.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr2-47414415-T-A is described in CliVar as Likely_benign. Clinvar id is 4111015.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr2-47414415-T-A is described in CliVar as Likely_benign. Clinvar id is 4111015.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr2-47414415-T-A is described in CliVar as Likely_benign. Clinvar id is 4111015.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr2-47414415-T-A is described in CliVar as Likely_benign. Clinvar id is 4111015.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr2-47414415-T-A is described in CliVar as Likely_benign. Clinvar id is 4111015.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr2-47414415-T-A is described in CliVar as Likely_benign. Clinvar id is 4111015.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr2-47414415-T-A is described in CliVar as Likely_benign. Clinvar id is 4111015.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr2-47414415-T-A is described in CliVar as Likely_benign. Clinvar id is 4111015.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr2-47414415-T-A is described in CliVar as Likely_benign. Clinvar id is 4111015.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr2-47414415-T-A is described in CliVar as Likely_benign. Clinvar id is 4111015.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr2-47414415-T-A is described in CliVar as Likely_benign. Clinvar id is 4111015.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr2-47414415-T-A is described in CliVar as Likely_benign. Clinvar id is 4111015.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr2-47414415-T-A is described in CliVar as Likely_benign. Clinvar id is 4111015.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr2-47414415-T-A is described in CliVar as Likely_benign. Clinvar id is 4111015.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr2-47414415-T-A is described in CliVar as Likely_benign. Clinvar id is 4111015.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr2-47414415-T-A is described in CliVar as Likely_benign. Clinvar id is 4111015.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr2-47414415-T-A is described in CliVar as Likely_benign. Clinvar id is 4111015.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr2-47414415-T-A is described in CliVar as Likely_benign. Clinvar id is 4111015.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr2-47414415-T-A is described in CliVar as Likely_benign. Clinvar id is 4111015.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr2-47414415-T-A is described in CliVar as Likely_benign. Clinvar id is 4111015.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr2-47414415-T-A is described in CliVar as Likely_benign. Clinvar id is 4111015.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr2-47414415-T-A is described in CliVar as Likely_benign. Clinvar id is 4111015.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr2-47414415-T-A is described in CliVar as Likely_benign. Clinvar id is 4111015.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr2-47414415-T-A is described in CliVar as Likely_benign. Clinvar id is 4111015.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr2-47414415-T-A is described in CliVar as Likely_benign. Clinvar id is 4111015.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr2-47414415-T-A is described in CliVar as Likely_benign. Clinvar id is 4111015.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr2-47414415-T-A is described in CliVar as Likely_benign. Clinvar id is 4111015.Status of the report is criteria_provided_single_submitter, 1 stars.